ROLE OF ACETABULAR INVOLVEMENT IN THE FUNCTIONAL OUTCOME OF TOTAL HIP REPLACEMENT– A SHORT–TERM, RETROSPECTIVE  EVALUATION BETWEEN AVASCULAR NECROSIS OF HIP AND ACETABULUM FRACTURE SEQUELAE

PRASOON KUMAR; RAKESH JOHN; RAMESH KUMAR SEN; SAURABH AGGARWAL; VISHAL KUMAR

Volume : VI, Issue : VI, June - 2017

ROLE OF ACETABULAR INVOLVEMENT IN THE FUNCTIONAL OUTCOME OF TOTAL HIP REPLACEMENT– A SHORT–TERM, RETROSPECTIVE EVALUATION BETWEEN AVASCULAR NECROSIS OF HIP AND ACETABULUM FRACTURE SEQUELAE

Prasoon Kumar, Rakesh John, Ramesh Kumar Sen, Saurabh Aggarwal, Vishal Kumar

Abstract :

Background: Avascular necrosis of femoral head (AVN) and post–traumatic sequelae are very common indications for total hip replacement (THR). While AVN involves the femoral head, sp� the acetabulum, post traumatic sequelae includes pathology in the acetabulum. Research question: Whether or not the integrity of acetabulum is a factor in the final outcome of the hip replacement surgery? Materials and methods: The present study includes 50 AVN hips and 32 post acetabulum fractures who underwent THR in our institute. They were assessed for functional outcome using standard Harris hip score (HHS) and their quality of life was assessed using short musculoskeletal functional assessment (SMFA) and SF–36 scores. Results: The mean HHS in AVN hips was 87.04 and in acetabulum fractures, it was 84.25 with no statistically significant difference between the two (p=0.9). Both the quality of life scores did not yield any statistically significant difference between the two groups either (p>.05 ). Conclusion: Acetabular pathology does not play a significant role in the final outcome after total hip replacement.